Intake Form – The Coaching Academy for Leaders!

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Thank you for considering The Coaching Academy for Leaders! It would be our honour and privilege to accompany you along your journey to become a coach and we are dedicated to providing a pleasant and enriching experience with every step of the way. Please fill out this form so we can get to know you better.

Thank you,
Corry Robertson and the CorryCo Team

Full Name *

Company *

City/Town, Country, Postal Code *

Email Address *

Phone Number *

Mailing Address ( *

If you are interested in a public cohort, please select the first choice cohort you wish to join: *

If you are interested in a public cohort, please select the second choice cohort you wish to join: *

In the past 3 months, where do you remember seeing or hearing about this program? (Please select all that apply.) *

Friends, family members, or colleagues

Social media

Online search results

Required

Terms

The Coaching Academy for Leaders requires a minimum of 5 participants to launch a cohort and we cap the enrolment at 15 participants per cohort.

Upon receipt of your completed intake form, we will issue an invoice. Once your payment is received, a seat will be reserved for you in your first choice. If enrolment is full for your first choice, we will reserve a seat for you in your second choice.

Once we receive your payment you will receive information about orientation.

Why do you want to learn to be a coach? *

To be an Internal Coach working full time within a company.

Because coaching is an important leadership skill for my current and future roles.

To be an External Coach running my own private practice.

I want to add coaching to my current practice and skill set.

Other:

Required

Have you taken Coach training before? *

Yes

If yes, which program did you take?

If you are enrolling for Phase 2 or 3, The Prerequisite for this level is an ICF Accredited Caoch Training Program covering the 8 Core Competencies ( ACTP or ACSHT)

Which program did you complete?

Are you willing to coach and be coached as part of your learning journey? *

Yes

Are you passionate about helping others succeed in life and at work? *

Yes

Before enrolling in this course, please carefully read and accept the terms, policies, and conditions located here: https://corryrobertson.com/wp-content/uploads/2022/06/Participant-Handbook-2022-The-Coaching-Academy-for-Leaders.pdf. Selecting 'no' as an answer will cause your application to be declined. *

Yes, I have read and accept the terms, policies and conditions

Please share a few words about why you would like to invest in becoming a professional coach? *

What are the top three things that you would like to achieve or get out of this course? *

Please share what it is about The Coaching Academy For Leaders that makes you feel that this may be the place for you to learn how to coach. *

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